A nurse is reviewing the medical records of a group of clients who are receiving chemotherapy. The nurse should identify that which of the following clients is at greatest risk for infection?

A 64-year-old client who is taking estrogen supplements

A 70-year-old client who has COPD

A 28-year-old client who has a left arm fracture

A 53-year-old client who has a thin build

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A 64-year-old client taking estrogen supplements does not necessarily indicate a greater risk for infection compared to the other options.

Choice B rationale:

A 70-year-old client with COPD does not necessarily indicate a greater risk for infection compared to the other options.

Choice C rationale:

A 28-year-old client with a left arm fracture is at greater risk for infection due to the open wound and potential introduction of pathogens.

Choice D rationale:

A 53-year-old client with a thin build does not necessarily indicate a greater risk for infection compared to the other options.

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Correct Answer is A

Explanation

Choice A rationale:

Methylphenidate has been associated with potential growth suppression in children, which is why this statement is important.

Choice B rationale:

Administering the medication at bedtime might interfere with the child's sleep.

Choice C rationale:

Methylphenidate is more likely to cause decreased appetite and weight loss, not weight gain.

Choice D rationale:

Methylphenidate is a stimulant and is more likely to cause increased alertness rather than drowsiness.

A. A client who developed influenza after receiving the vaccine last year B. A client who has hypertension C. A client who has a history of Guillain-Barré syndrome D. A client who has an allergy to dairy products.

Correct Answer is C

Explanation

Choice A rationale:

Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.

Choice B rationale:

Hypertension is not a contraindication for receiving the influenza vaccine.

Choice C rationale:

Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.

Choice D rationale:

Allergies to dairy products are not a contraindication for receiving the influenza vaccine.

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A nurse is reviewing the medical records of a group of clients who are receiving chemotherapy. The nurse should identify that which of the following clients is at greatest risk for infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to the guardian of a child who has ADHD and a prescription for methylphenidate. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is preparing to administer the influenza vaccine to a group of clients. For which of the following clients should the nurse withhold the vaccine?

Correct Answer is C

Explanation

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